Active NPI
The Community Supports Network Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lincoln, NE
National Provider Identifier
1134421696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- THE COMMUNITY SUPPORTS NETWORK INC
- Practice address
- 5539 S 27TH St Ste 204
Lincoln, NE 68512-1600 - Phone
- (402) 435-2811
- NPI assigned
- Dec 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Kanter
- Title
- Ceo
- Phone
- (402) 435-2134
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | IA | Primary |
Addresses
Primary practice location
5539 S 27TH St Ste 204
Lincoln, NE 68512-1600
Mailing address
300 W Broadway
Suite 111
Council Bluffs, IA 51503-9019
Phone (712) 242-0533
Other practice location 1
5701 Thompson Creek Blvd
Suite 200
Lincoln, NE 68516-5662
Phone (402) 435-2134
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0735167 | Medicaid | IA | |
| 856344205 | Medicaid | MO |
Other names 1
- Developmental Services of Iowa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240711000368 | NE | Part B Supplier - Clinic/Group Practice | 1658816962 |
Receives reassigned benefits from 9 practitioners Practice locations: Lincoln, NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2037077 | Community Supports Network, Inc, the | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
5539 S 27th St
Ste 204
Lincoln, NE 68512
Phone (402) 423-3696
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1679305296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1134421696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W BROADWAY",
"address_2": "SUITE 111",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039019",
"telephone_number": "712-242-0533",
"fax_number": "712-242-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5539 S 27TH ST STE 204",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121600",
"telephone_number": "402-435-2811"
}
],
"practiceLocations": [
{
"address_1": "5701 Thompson Creek Blvd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685165662",
"country_code": "US",
"telephone_number": "402-435-2134",
"fax_number": "402-435-8801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE COMMUNITY SUPPORTS NETWORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-03",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A",
"authorized_official_last_name": "KANTER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "402-435-2134",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0735167",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "856344205",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Developmental Services of Iowa",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.